Question

A hemodynamically stable patient with suspected tubal ectopic pregnancy has β-hCG 3,800 mIU/mL, no fetal cardiac activity, and no contraindications. Best management?

Accepted Answer

Single-dose methotrexate regimen

Answer

Expectant management regardless of β-hCG

Answer

Immediate laparotomy

Answer

Methotrexate plus leucovorin daily for 7 days

Answer

Delayed laparoscopy in 2 weeks

Practice question

A hemodynamically stable patient with suspected tubal ectopic pregnancy has β-hCG 3,800 mIU/mL, no fetal cardiac activity, and no contraindications. Best management?